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Journal : Jurnal Ilmiah Keperawatan

Pengaruh Pelatihan Terhadap Pengambilan Keputusan Skrining Kanker Serviks Berdasarkan The Precaution Adoption Process Model Vina Vitniawati; Yanti Hermayanti; Titis Kurniawan
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 15, No 2 (2020): October
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (388.92 KB) | DOI: 10.30643/jiksht.v15i2.103

Abstract

Decision making for taking screening is an important component in preventing cervical cancer, but still many women who have not yet done it due to a lack of knowledge and decision-making ability.  Development of intervention tailored to the stages of decision-making based on the Precaution  Adoption  Process  Model,  such as training,  is able to improve decision-making ability to do the screening. This study aimed to determine the differences in the effect of training on decision-making for cervical cancer screening based on PAPM in the UPT Griya Antapani Health Center Bandung. This quasi-experimental study with two group pre-test post-test design involved  84  women aged  30-49  years who were chosen by purposive and proportional cluster sampling from two villages divided into  42  respondents each. Group  A received training with PowerPoint media,  leaflets,  videos, and WhatsApp while group  B received training with PowerPoint media, leaflets, and videos. The data of decision-making was collected using the  Precaution Adoption Process Model checklist:  before,  after training, and  15  days after training then analyzed using  Friedman test and  Mann  Whitney test.  The results showed that there were differences in decision-making in each group before and after training with p <0.001 but Mann Whitney test showed that there was no difference in decision-making between groups after training (p = 1,000 and p = 0.316). This depicted that any method and media can be used to change decision-making. Providing training and counseling is needed according to the stages of decision-making taking into account the factors that influence it.  Keywords: Cervical Cancer, Decision-making, Screening, the Precaution Adoption Process Model